Yıl: 2016 Cilt: 27 Sayı: 5 Sayfa Aralığı: 415 - 420 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia

Öz:
Background/Aims: Pathogenesis of functional dyspepsia (FD) is unclear and not well documented. Some gastric motility abnormalities have been reported to be important factors. Transcutaneous electrogastrography (EGG) is an experimental method that is used to assess FD. We aimed to compare FD patients with control subjects in terms of motility abnormalities according to the EGG results. Materials and Methods: Thirty patients with FD and thirty control subjects were included. EGG was preprandially and postprandially performed. The recordings were analyzed and compared between the two groups. Results: Mean ages of the cases and controls were 31.4±9.3 and 32.58±7.6 years, respectively. Female subjects constituted 80% of the FD group and 76.67% of the control group. In terms of the preprandial dominant frequency (DF), the FD group demonstrated lower incidence of normal subjects than the control group [13 (43.3%) and 22 (73.3%), respectively] and a higher incidence of bradygastria than the control group [17 (56.7%) and 8 (26.6%), respectively]. In the FD group, the rate of cases with normal postprandial DF was lower than that in the control group [10 (33.3%) and 23 (76.7%), respectively], whereas the rates of bradygastria [18 (60%) and 7 (23.3%), respectively] and tachygastria [2 (6.7%) and 0 (0%), respectively] were higher in the FD group (p<0.05). Preprandial and postprandial DF values were statistically significant in both groups. Conclusion: A high incidence of gastric motility and myoelectrical activity abnormalities was observed in patients with FD. EGG is an effective, reliable, and non-invasive method in differentiating the subgroups. After standardization of some parameters, EGG may be an essential and irreplaceable test to diagnose and follow-up FD patients with motor dysfunction
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Drossman DA, Dumitrascu DL. Rome III: New standard for functional gastrointestinal disorders. J Gastrointestin Liver Dis 2006; 15: 237.
  • 2. Babara L, Camilleri M, Corinaldesi R, et al. Definition and investigation of dyspepsia: Consensus of an international ad hoc working party. Dig Dis Sci 1989; 34: 1272-6. [CrossRef ]
  • 3. Dobrek Ł, Thor PJ. Pathophysiological concepts of functional dyspepsia and irritable bowel syndrome future pharmacotherapy. Acta Pol Pharm 2009; 66: 447-60.
  • 4. Mahadeva S, Goh KL. Epidemiology of functional dyspepsia: A global perspective. World J Gastroenterol 2006; 12: 2661-6. [CrossRef ]
  • 5. Leahy A, Besherdas K, Clayman C, Mason I, Epstein O. Abnormalities of the electrogastrogram in functional gastrointestinal disorders. Am J Gastroenterol 1999; 94: 1023-8. [CrossRef ]
  • 6. Lin Z, Eaker EY, Sarosiek I, McCallum RW. Gastric myoelectrical activity and gastric emptying in patients with functional dyspepsia. Am J Gastroenterol 1999; 94: 2384-9. [CrossRef ]
  • 7. Waldron B, Cullen PT, Kumar R, Smith D, Jankowski J, Hopwood D, et al. Evidence for hypomotility in non-ulcer dyspepsia: A prospective multifactorial study. Gut 199; 32: 246-51. [CrossRef ]
  • 8. Chen JD, Lin Z, Pan J, McCallum RW. Abnormal gastric myoelectrical activity and delayed gastric emptying in patients withsymptoms suggestive of gastroparesis. Dig Dis Sci 1996; 41: 1538-45. [CrossRef ]
  • 9. Riezzo G, Russo F, Indrio F. Electrogastrography in adults and children: the strength, pitfalls, and clinical significance of the cutaneous recording of the gastric electrical activity. Biomed Res Int 2013; 2013: 282757. [CrossRef ]
  • 10. Lin Z, Chen JD, Schirmer BD, McCallum RW. Postprandial response of gastric slow waves: correlation of serosal recordings with the electrogastrogram. Dig Dis Sci 2000; 45: 645-51. [CrossRef ]
  • 11. Cucchiara S, Riezzo G, Minella R, Pezzolla F, Giorgio I, Auricchio S.Electrogastrography in non-ulcer dyspepsia. Arch Dis Child 1992; 67: 613-7. [CrossRef ]
  • 12. Jebbink HJ, Van Berg-Henegouwen GP, Bruijs PP, Akkermans L, Smout AJ. Gastric myoelectrical activity and gastrointestinal motility in patients with functional dyspepsia. Eur J Clin Invest 1995; 25: 429-37. [CrossRef ]
  • 13. Oba-Kuniyoshi AS, Oliveira Jr JA, Moraes ER, Troncon LE. Postprandial symptoms in dysmotility-like functional dyspepsia are not related to disturbances of gastric myoelectrical activity. Braz J Med Biol Res 2004; 37: 47-53. [CrossRef ]
  • 14. Pfaffenbach B, Adamek RJ, Bartholomäus C, Wegener M. Gastric dysrhythmias and delayed gastric emptying in patients with functional dyspepsia. Dig Dis Sci 1997; 42: 2094-9. [CrossRef ]
  • 15. Brzana RJ, Koch KL, Bingaman S. Gastric Myoelectrical Activity in Patients With Gastric Outlet Obstruction and Idiopathic Gastroparesis. Am J Gastroenterol 1998; 93: 1803-9. [CrossRef ]
  • 16. Parkman HP, Hasler WL, Barnett JL, Eaker EY. Electrogastrography: a document prepared by the gastric section of the American Mo- tility Society Clinical GI Motility Testing Task Force. Neurogastroenterol Motil 2003; 15: 89-102. [CrossRef ]
  • 17. Morello R, Capua CD, Lamonaca F. “Diagnosis of Gastric Disorders by Non-invasive Myoelectrical Measurements”. DIIES, University Mediterranea of Reggio Calabria, Italy. IEEE 6th International Workshop on Medical Measurement and Applications, 30-31 May, Bari, Italy, 2011: 261-6.
  • 18. Kara S, Dirgenali F, Okkesim S. Estimating Gastric Rhythm Differences Using a Wavelet Method from the Electrogastrograms of Normal and Diabetic Subjects. Instrum Sci Technol 2005; 33: 519-32. [CrossRef ]
  • 19. Chang FY. Electrogastrography: Basic knowledge, recording, processing and its clinical applications. J Gastroenterol Hepatol 2005; 20: 502-16. [CrossRef ]
  • 20. Chey WY, You CH, Lee KY, Menguy R. Gastric dysrhythmias: Clinical aspects. In: Chey WY, ed. Functional dyspepsias of the digestive tract. New York: Raven Press, 1983: 175-81.
  • 21. Geldof H, van der Schee EJ, van Blankenstein M, Grashuis JL. Electrogastrographic study of gastric myoelectrical activity in patients with unexplained nausea and vomiting. Gut 1986; 27: 799- 808. [CrossRef ]
  • 22. Rothstein RD, Alavi A, Reynolds JC. Electrogastrography in patients with gastroparesis and effect of long-term cisapride. Dig Dis Sci 1993; 38: 1518-24. [CrossRef ]
  • 23. Levanon D, Zhang M, Chen JDZ. Efficiency and efficacy of the electrogastrogram. Dig Dis Sci 1998; 40: 1445-50.
  • 24. van der Voort IR, Osmanoglou E, Seybold M, et al. Electrogastrography as a diagnostic tool for delayed gastric emptying in functional dyspepsia and irritable bowel syndrome. Neurogastroenterol Motil 2003; 15: 467-73. [CrossRef ]
  • 25. Troncon LE, Thompson DG, Ahluwalia NK, Barlow J, Heggie LJ. Relations between upper abdominal symptoms and gastric distension abnormalities in dysmotility like functional dyspepsia and after vagotomy. Gut 1995; 37: 17-22. [CrossRef ]
  • 26. Lémann M, Dederding JP, Flourié B, Franchisseur C, Ramband JC, Jian R. Abnormal perception of visceral pain in response to gastric distension in chronic idiopathic dyspepsia. Dig Dis Sci 1991; 36: 1249-54. [CrossRef ]
  • 27. Edelbroek M, Schuurkes J, De Ridder W, Horowitz M, Dent J, Akkermans L. Effect of cisapride on myoelectrical and motor responses of antropyloroduodenal region during intraduodenal lipid and antral tachygastria in conscious dog. Dig Dis Sci 1995; 40: 901-11. [CrossRef ]
  • 28. Jian R, Ducrot F, Ruskone A, et al. Symptomatic, radionuclide and therapeutic assessment of chronic idiopathic dyspepsia. Dig Dis Sci 1989; 34: 657-64. [CrossRef ]
  • 29. Talley NJ. Review article: functional dyspepsia--should treatment be targeted on disturbed physiology? Aliment Pharmacol Ther 1995; 9: 107-15. [CrossRef ]
  • 30. McCallum RW. Cisapride: A new class of prokinetic agent. Am J Gastroenterol 1991; 86: 135-49.
  • 31. Rothstein RD, Alavi A, Reynolds JC. Electrogastrography in patients with gastroparesis and effect of long-term cisapride. Dig Dis Sci 1993; 38: 1518-24.[CrossRef ]
APA kayar y, DANALIOĞLU A, KAFEE A, OKKESİM Ş, ŞENTÜRK H (2016). Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. , 415 - 420.
Chicago kayar yusuf,DANALIOĞLU Ahmet,KAFEE Abdullah Al,OKKESİM Şükrü,ŞENTÜRK Hakan Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. (2016): 415 - 420.
MLA kayar yusuf,DANALIOĞLU Ahmet,KAFEE Abdullah Al,OKKESİM Şükrü,ŞENTÜRK Hakan Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. , 2016, ss.415 - 420.
AMA kayar y,DANALIOĞLU A,KAFEE A,OKKESİM Ş,ŞENTÜRK H Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. . 2016; 415 - 420.
Vancouver kayar y,DANALIOĞLU A,KAFEE A,OKKESİM Ş,ŞENTÜRK H Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. . 2016; 415 - 420.
IEEE kayar y,DANALIOĞLU A,KAFEE A,OKKESİM Ş,ŞENTÜRK H "Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia." , ss.415 - 420, 2016.
ISNAD kayar, yusuf vd. "Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia". (2016), 415-420.
APA kayar y, DANALIOĞLU A, KAFEE A, OKKESİM Ş, ŞENTÜRK H (2016). Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. Turkish Journal of Gastroenterology, 27(5), 415 - 420.
Chicago kayar yusuf,DANALIOĞLU Ahmet,KAFEE Abdullah Al,OKKESİM Şükrü,ŞENTÜRK Hakan Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. Turkish Journal of Gastroenterology 27, no.5 (2016): 415 - 420.
MLA kayar yusuf,DANALIOĞLU Ahmet,KAFEE Abdullah Al,OKKESİM Şükrü,ŞENTÜRK Hakan Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. Turkish Journal of Gastroenterology, vol.27, no.5, 2016, ss.415 - 420.
AMA kayar y,DANALIOĞLU A,KAFEE A,OKKESİM Ş,ŞENTÜRK H Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. Turkish Journal of Gastroenterology. 2016; 27(5): 415 - 420.
Vancouver kayar y,DANALIOĞLU A,KAFEE A,OKKESİM Ş,ŞENTÜRK H Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia. Turkish Journal of Gastroenterology. 2016; 27(5): 415 - 420.
IEEE kayar y,DANALIOĞLU A,KAFEE A,OKKESİM Ş,ŞENTÜRK H "Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia." Turkish Journal of Gastroenterology, 27, ss.415 - 420, 2016.
ISNAD kayar, yusuf vd. "Gastric myoelectrical activity abnormalities of electrogastrography in patients with functional dyspepsia". Turkish Journal of Gastroenterology 27/5 (2016), 415-420.